MEDICARE: HEALTH DELIVERY MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy	054019514	IL

General Provider Information

NPI Number	:	1285097246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH DELIVERY MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	1520 W HARRISON ST RM 4068
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:	312-942-3444
Fax Number	:	312-942-3455

Provider Business Practice Location Address
First Line	:	1520 W HARRISON ST RM 4068
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:	312-942-3444
Fax Number	:	312-942-3455

Authorized Official
Title or Position	:	SECRETARY/DIRECTOR
Name	:	MATTHEW KEMPER
Credential	:
Telephone Number	:	312-563-2326

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	04/09/2026

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